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General NPI Number Information
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NPI Number | 1144235896
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Entity Type | Individual
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Provider Name | PAOLO GIUDICI LPCC, LADAC
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Gender | Male
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 04/13/2025
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Provider Practice Location Address
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Address Line | 1925 ASPEN DR STE 101A
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City | SANTA FE
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State | NM
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Zip | 87505-5579
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Country | US
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Telephone | 505-424-3119
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6604
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City | SANTA FE
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State | NM
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Zip | 87502
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Country | US
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Telephone | 505-466-1764
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Fax | 501-421-3119
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 3478
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1865
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0413
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License Number State | NM
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